Abstract
Fecal impaction sometimes grows into a hard and laminated large mass known as a fecaloma which may present features of acute gastrointestinal tract pain or mimic a carcinoma. Patients with fecaloma tend to have underlying conditions such as being elderly, having experienced previous abdominal surgery or having abused drugs (e.g., anticholinergics or narcotics). Although there have been a few reports concerning fecaloma in children complicated with encopresis, cerebral palsy, or Hirschsprung disease, reports of children with giant fecaloma with no underlying diseases are rare.
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